Individual provider · Type 1 NPI
I. Marino Hunter, PA-C
Surgical Physician Assistant · Philadelphia, PA
NPI number
1528388352
Active
Practice location
3401 N Broad St, Suite C-540
Philadelphia, PA 19140-5103
Fax (215) 707-3831
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | MA051382 (PA) |
| Surgical Physician Assistant Primary | 363AS0400X | MA051382 (PA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1528388352
I. Marino Hunter, PA-C's National Provider Identifier is 1528388352, issued on Jun 3, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 10, 2015.